Provider Demographics
NPI:1316812795
Name:PRISTINE HEALTH SERVICES INC.
Entity type:Organization
Organization Name:PRISTINE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OLUMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-501-6956
Mailing Address - Street 1:7265 WINDSOR BLVD STE 122 - 125
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:443-501-6956
Mailing Address - Fax:443-232-2379
Practice Address - Street 1:7265 WINDSOR BLVD STE 122125
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2687
Practice Address - Country:US
Practice Address - Phone:443-501-6956
Practice Address - Fax:443-232-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty